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"ABSTRAKPungsi vena merupakan prosedur yang dapat menimbulkan nyeri. Krim EMLA dan kompres dingin merupakan pilihan untuk mengurangi nyeri se1ama prosedur pungsi vena pada anak. Dengan desain quasi-experiment, penelitian ini bertujuan mengidentifikasi perbedaan dampak penggunaan EMLA dan kompres dingin terhadap tingkat nyeri anak usia sekolah saat tindakan pungsi vena. Sebanyak 50 anak usia menjadi sampel penelitian menggunakan metode non probability sampling dengan cara consecutive sampling. Hasil penelitian menunjukkan tidak ada perbedaan tingkat nyeri antara ke1ompok EMLA dan kelompok kompres dingin (p=0,994). Penelitian merekomendasikan penggunaan kompres dingin untuk menurunkan nyeri saat tindakan pungsi vena pada anak.

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ABSTRACTPain is one ofimpacts ofvenipuncture. TheEMLA cream and cold applicationare often used to minimize venipuncture pain. This research is designed to identify the pain level difference between EMLA cream and cold application before venipuncture procedure in school age children, using quasi experiment. 50 samples were recruited using consecutive sampling technique, and divided into 2 groups (EMLA and cold application). The data analysis result showed that there is no significant pain level difference between both groups (p value=0,994). This research recommended to use cold application in clinical practice to reduce pain level ofvenipuncture procedure in children."

"ABSTRAKPungsi vena merupakan prosedur yang dapat menimbulkan nyeri. Krim EMLA dan kompres dingin merupakan pilihan untuk mengurangi nyeri selama prosedur pungsi vena pada anak. Dengan desain quasi-experiment, penelitian ini bertujuan mengidentifikasi perbedaan dampak penggunaan EMLA dan kompres dingin terhadap tingkat nyeri anak usia sekolah saat tindakan pungsi vena. Sebanyak 50 anak usia menjadi sampel penelitian menggunakan metode non probability sampling dengan cara consecutive sampling. Hasil penelitian menunjukkan tidak ada perbedaan tingkat nyeri antara kelompok EMLA dan kelompok kompres dingin (p=0,994). Penelitian merekomendasikan penggunaan kompres dingin untuk menurunkan nyeri saat tindakan pungsi vena pada anak.

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ABSTRACTPain is one of impacts of venipuncture. The EMLA cream and cold application are often used to minimize venipuncture pain. This research is designed to identify the pain level difference between EMLA cream and cold application before venipuncture procedure in school age children, using quasi experiment. 50 samples were recruited using consecutive sampling technique, and divided into 2 groups (EMLA and cold application). The data analysis result showed that there is no significant pain level difference between both groups (p value=0,994). This research recommended to use cold application in clinical practice to reduce pain level of venipuncture procedure in children."

"Prosedur pemasangan infus dapat menimbulkan nyeri dan juga trauma pada anak. Tujuan penelitian ini adalah untuk mengetahui pengaruh kompres hangat dan dingin kering terhadap skala nyeri anak usia sekolah saat pemasangan infus. Desain penelitian yang digunakan kuasi eksperimen post test only non equivalent control group yang terbagi dalam tiga kelompok yaitu kompres hangat (15 responden), kompres dingin (15 responden) dan kontrol (15 responden).Hasil Uji statistik dengan Anova menunjukkan ada perbedaan pengaruh pada ketiga kelompok terhadap skala nyeri dengan p value = 0,0001; α: 0,05 dan hasil uji post hock menunjukkan bahwa pemberian kompres dingin mempunyai mean difference paling besar yaitu -4,267. Berdasarkan hasil penelitian ini maka kompres dingin lebih efektif menurunkan nyeri, oleh karena itu kompres dingin lebih disarankan untuk diterapkan dalam menurunkan nyeri pada anak yang dilakukan prosedur pemasangan infus.

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IV canule insertion procedure can cause pain and also trauma in children. The purpose of this study was to determine the effect of dried warm and cold compress on pain rating scale of school-age children IV canule insertion. The study design used quasi-experimental post-test only non-equivalent control group, which were divided into three groups: warm compress (15 respondents), cold compress (15 respondents) and control (15 respondents).

Anova analysis showed there were differences in the effect of the three groups on the pain scale with p value = 0.0001; α : 0.05 and post hock test results showed that administration of cold compresses has the greatest mean difference (-4.267). Based on these results, the cold compress is more effectively to reduce pain, therefore, cold compress is recommended to be applied in reducing pain in children who carried IV canule insertion."

"Takut pada anak yang mengalami hospitalisasi merupakan fenomena yang sering ditemui dan berdampak terhadap penolakan tindakan. Penelitian ini untuk mengidentifikasi faktor-faktor yang berhubungan dengan kejadian takut anak usia pra sekolah dan sekolah yang mengalami hospitalisasi. Desain cross sectional, dengan sampel 100 responden melalui purposive sampling. Analisa menggunakan chi square dan regresi logistik ganda. Hasil menunjukkan takut dialami oleh 53 % responden, selanjutnya terdapat hubungan signifikan antara karakteristik anak, keluarga dan lingkungan dengan kejadian takut. Kesimpulan bahwa usia dan kecemasan keluarga merupakan determinan kejadian takut anak usia pra sekolah dan sekolah yang mengalami hospitalisasi, maka disarankan bagi perawat untuk meningkatkan pemberian dukungan emosional kepada keluarga, serta mengatur situasi ruangan yang kondusif dan tidak menakutkan bagi anak.

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Fear of children experiencing hospitalization is a common phenomenon. This study aimed to identify factors associated with the incidence of fear in pre-school and school age children who experience hospitalization. The design used crosssectional with sample of 100 respondents by purposive sampling. The results showed that the fear experienced by 53% of respondents, and a significant relationship between children, family and environment characteristics with incidence of fear. The study concluded that age and family anxiety is determinant of the incidence of fear in pre-schools and school age children that have experienced hospitalization. The researcher suggests that pediatric nurse should give emotionally support for family and make room situation setting that is conducive and less frightened for children."

"[ABSTRAKNyeri akibat prosedur pengambilan darah vena berpotensi menimbulkan gangguan tumbuh kembang anak apabila tidak ditangani dengan tepat. Penelitian ini bertujuan mengidentifikasi perbedaan dampak pemberian kantong jelli dingin dan hipnoterapi terhadap skor nyeri anak. Desain penelitian berupa Quasi experimental dan pengukuran skor nyeri menggunakan Numerical Rating Scale. Hasil analisis menggunakan uji T tidak berpasangan menghasilkan nilai p=0,013 yang menunjukkan ada perbedaan yang bermakna antara pemberian kantong jelli dingin dan hipnoterapi. Hasil uji korelasi Pearson dan Eta didapatkan p>0,05 menunjukkan tidak ada hubungan antara usia, jenis kelamin, pengalaman nyeri sebelumnya, dan kehadiran keluarga terhadap skor nyeri. Perawat dapat menerapkan hipnoterapi sebagai intervensi mandiri dalam manajemen nyeri anak.

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ABSTRACTPain due to venous blood collection procedures has the potential to cause interference with child growth if not handled properly. This study aims to identify differences of impacts between cold pack and hypnotherapy and collaborate them with Children?s data relating to their pain (Pain Scores). The research design employed is Quasi experimental and pain scores measurement using a numerical rating scale. Results of analysis using unpaired T-test with p value=0,016 showed no significant difference between the provision of cold pack and hypnotherapy. Results of Pearson correlation and Eta test p>0,05 showed no relation between age, gender, previous pain experiences and the presence of the family with pain scores. Nurses can apply hypnotherapy as a standalone intervention in child pain mangement plan.;Pain due to venous blood collection procedures has the potential to cause interference with child growth if not handled properly. This study aims to identify differences of impacts between cold pack and hypnotherapy and collaborate them with Children?s data relating to their pain (Pain Scores). The research design employed is Quasi experimental and pain scores measurement using a numerical rating scale. Results of analysis using unpaired T-test with p value=0,016 showed no significant difference between the provision of cold pack and hypnotherapy. Results of Pearson correlation and Eta test p>0,05 showed no relation between age, gender, previous pain experiences and the presence of the family with pain scores. Nurses can apply hypnotherapy as a standalone intervention in child pain mangement plan., Pain due to venous blood collection procedures has the potential to cause interference with child growth if not handled properly. This study aims to identify differences of impacts between cold pack and hypnotherapy and collaborate them with Children’s data relating to their pain (Pain Scores). The research design employed is Quasi experimental and pain scores measurement using a numerical rating scale. Results of analysis using unpaired T-test with p value=0,016 showed no significant difference between the provision of cold pack and hypnotherapy. Results of Pearson correlation and Eta test p>0,05 showed no relation between age, gender, previous pain experiences and the presence of the family with pain scores. Nurses can apply hypnotherapy as a standalone intervention in child pain mangement plan.]"

"Dampak dari hospitalisasi pada anak diantaranya adalah stres. Stres ini timbul karena anak takut akan tindakan invasif, cemas berpisah dengan orang tua serta karena nyeri. Tindakan invasif yang didapat anak selama hospitalisasi sering menimbulkan trauma berkepanjangan. Salah satu prosedur invasif yang dilakukan bagi anak adalah terapi melalui intra vena.Tindakan ini menimbulkan nyeri. Upaya untuk managemen nyeri ada farmakologis dan non farmakologis. Tindakan non farmakologis yang bisa dilaksanakan oleh perawat diantaranya dengan memberikan stimulasi kulit. Stimulasi kulit yang diupayakan antara lain dengan menggunakan kompres es batu. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian kompres es batu terhadap tingkat nyeri anak usia pra sekolah yang dilakukan prosedur pemasangan infus. Penelitian ini menggunakan studi quasi eksperimen dengan rancangan Nonequivalent control group, after only design. Sampel penelitian berjumlah 64 anak yang dilakukan pemasangan infus di rumah sakit dr. Cipto Mangunkusumo Jakarta. Sampel dibagi menjadi 2 kelompok, 32 anak sebagai kelompok intervensi, 32 anak sebagai kelompok kontrl. Instrumen yang digunakan dalam pengumpulan data berupa 1 kuesioner dan 1 lembar observasi dengan menggunakan skala Wong Baker Pain Faces. Instrumen berupa lembar kuesioner.

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Distress is a negative effect during hospitalization on children. invasive procedures, separation anxiety and painful which cause considerable child distress. Invasive procedures during hospitalization continuesly distress. Intrusive proce ures such as venipuncture are well understood as a stressfull event for children. Pain management were pharmacological and non pharmacological. Cutaneus stimulation is a non pharmacological theraphy to reduce venipuncture related pain and can be performed by nurses. Ice cube is cutaneus stimulation. The purpose of this study was determining the effect of ice cube prior to venipuncture on pain related responses in preschool age child. This study is quasi experiment with nonequivalent control group after only design. The subject were 64 preschool child selected by purposive sampling. Two groups were chosen for this study: 32 the test and 32 control group. Pain responses were measured using Wong Baker faces Pain Scale and confounding factor were measured using quesionaire. After homogeneity test this study analyzed with chi square. Result showed that ice cube reduced pain on preschool age child who were venipuncture, 83,3% mild pain with icecube and 16,7% mild pain without ice cube on p=0.01, α < 0,05. Ice cube efficient and effective for cutaneus stimulation. Pediatric nurse could apply ice cube for atraumatic care on venipuncture procedures. Sex, ethnic, member of family present, and child experience did not effect pain relieve in children. Child fear significantly effect for pain relieve in preschool age child ."

"Atraumatic care adalah suatu tindakan keperawatan yang tidak menyebabkan trauma dan dapat mengurangi distress fisik maupun psikologis yang dialami anak maupun keluarga. Tujuan penelitian ini adalah mengetahui pengaruh pemasangan spalk bermotif terhadap tingkat kooperatif anak usia pra sekolah selama prosedur injeksi. Desain penelitian adalah 'Quasi Experimental Posttest Only Non Equivalent Control Group Design'. Populasi penelitian adalah anak usia pra sekolah yang dirawat dengan terpasang infus dan spalk. Sampel adalah purposive sampling dengan sampel sebanyak 58. Hasil: sikap kooperatif pada kelompok intervensi 75,9%. Terdapat perbedaan tingkat kooperatif kelompok intervensi dan kontrol (p-value<0,05). Pemasangan spalk bermotif direkomendasikan untuk dilakukan pada tatanan pelayanan keperawatan anak di rumah sakit.

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Atraumatic care is a nursing act that does not cause trauma and can reduce the physical and psychological distress experienced for children and families. The purpose of this study was to determine the effect of the installation patterned spalk toward the level cooperative pre-school age children during the injection procedure.

The study design is a "Quasi-experimental posttest Only Non Equivalent Control Group Design". The study population was pre-school age children who got intravenous therapy and spalk attached. Sample recruitment used purposive sampling with sample size of 58.

The results indicated a willingness to cooperate in the intervention group 75.9%. There are different degrees of cooperative intervention and control groups (p-value <0.05). Installation of patterned spalk is recommended for performed in the framework of pediatric nursing services in hospitals."

"Tindakan invasif menyebabkan nyeri pada anak ketika hospitalisasi di rumah sakit menjadi salah satu sumber kecemasan, ketakutan, dan ketidaknyamanan bagi anak maupun orang tua. Salah satu manajemen nyeri yang bisa dilakukan pada anak yaitu dengan memberikan distraksi. Distraksi adalah tindakan memperhatikan sesuatu selain rasa sakit, tindakan menarik perhatian pada rasa sakit. Tujuan: Penelitian ini untuk mengetahui pengaruh distraksi Virtual Reality terhadap nyeri anak usia sekolah saat dilakukan pemasangan infus. Metode: Penelitian menggunakan desain quasi experiment post-test only dengan sampel responden terdiri dari 34 kelompok intervensi dan 34 kelompok kontrol, sesuai kriteria inklusi yaitu: anak yang dipasang infus pertama kali saat periode rawat terkini, tidak mengalami gangguan kognitif, anak kooperatif dan mau mengikuti instruksi, serta anak yang didampingi orangtua. Instrumen nyeri yang digunakan adalah NRS (Numeric Rate Scale). Hasil: Mayoritas responden memiliki karakteristik berjenis kelamin perempuan pada kelompok intervensi sebanyak 67,6% dan pada kelompok kontrol berjenis kelamin perempuan sebanyak 61,8%, berusia 6-12 tahun dan memiliki pengalaman prosedur invasif sebelumnya. Analisis data menggunakan uji non parametrik (Mann Whitney) untuk menganalisis perbedaan nyeri pada kelompok intervensi dan kelompok kontrol pada prosedur invasif. Terdapat perbedaan signifikan nyeri selama prosedur invasif menggunakan distraksi Virtual Reality pada kelompok intervensi dan kelompok kontrol (nilai p 0,000). Saran: Penelitian Virtual Reality menunjukkan bahwa metode distraksi menjadi lebih efektif karena meningkatkan efisiensi sumber daya dan pemilihan pasien berdasarkan karakteristik.

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Invasive acts cause pain in the child when hospitalization in the hospital becomes one of the sources of anxiety, fear, and discomfort for both the child and the parent. One of the pain management that can be done in children is by giving distractions. Distraction is the act of paying attention to something other than pain, the action of drawing attention to pain.

Objective: This research is to find out the impact of Virtual Reality distraction on the pain of school-age children during infusion installation. Method: The study used a post-test only quasi-experimental design with a sample of respondents consisting of 34 intervention groups and 34 control groups, according to the inclusion criteria, namely: children who were installed the first infusion during the current period of care, did not have cognitive impairment, children cooperative and willing to follow instructions, as well as children accompanied by parents. The pain instrument used is NRS. (Numeric Rate Scale).

Results: The majority of respondents had female gender characteristics in the intervention group of 67.6% and in the control group of the gender of 61.8%, aged 6-12 years and had previous experience of invasive procedures. The data analysis used a non-parametric test (Mann Whitney) to analyze differences in pain in the intervention group and the control group in the invasive procedure. There are significant differences in pain during invasive procedures using virtual reality distraction in the intervention group and control group. (nilai p 0,000).

Advice: Virtual Reality research shows that the method of distraction becomes more effective as it improves resource efficiency and patient selection based on characteristics. "

"Pemasangan infus pada anak usia prasekolah dianggap sebagai ancaman terhadap integritas tubuh yang dapat menimbulkan nyeri dan kecemasan. Penelitian ini bertujuan untuk mengetahui perbedaan distraksi: penggunaan baju bermotif kartun dan bubble blowing terhadap nyeri dan kecemasan anak prasekolah saat pemasangan infus. Penelitian ini menggunakan quasi experiment post test only control group design. Sampel terdiri dari 57 anak prasekolah yang terbagi kedalam tiga kelompok. Analisis data menggunakan Oneway ANOVA untuk nyeri dan Kruskal-wallis untuk kecemasan. Hasil analisis menunjukkan ada perbedaan bermakna antara nyeri dan kecemasan ketiga kelompok dengan p<α. Analisis lanjutan menggunakan uji Post-hoc menunjukkan kelompok distraksi menggunakan bubble blowing lebih efektif menurunkan nyeri dan kecemasan saat pemasangan infus dengan nilai p=0,026 dan 0,0001 (α=0,05). Disarankan kepada pemberi layanan keperawatan agar menggunakan bubble blowing sebagai alat distraksi saat pemasangan infus.

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Preschool children considers venipuncture as a threathing procedure which can cause pain and anxiety. This study aimed to compare the effectiveness of distraction: cartoon-patterned attire and bubble blowing to reduce pain and anxiety in children during venipuncture. This study used a quasi experiment with post test only control group design. The sample consisted of 57 preschoolers divided into three groups. Data were analysed using Oneway ANOVA for pain and Kruskal-wallis for anxiety.

Result showed there was a significant difference between pain and anxiety of the three groups with p<α. Further analysis using Post-hoc test showed that distraction using bubble blowing was more effective in reducing pain and anxiety during venipuncture with p value= 0,026 and 0,0001 (α=0,05). It is recommended to use bubble blowing as a distraction during venipuncture."

"Penelitian ini bertujuan untuk mengetahui hubungan persepsi perawat tentang profesi keperawatan, kemampuan dan motivasi kerja terhadap kinerja perawat pelaksana di RSUD dr. Slamet Garut. Hasil penelitian adalah sebagian besar mempunyai persepsi kurang terhadap profesi keperawatan (51,4 %). Sebagian besar mempunyai kemampuan kerja kurang (60 %). Sebagian besar mempunyai motivasi kerja baik (55,2 %) dan sebagian besar perawat mempunyai kinerja baik (52,4 %). Variabel yang berhubungan dengan kinerja perawat adalah kemampuan kerja, motivasi kerja. Variabel yang paling berhubungan kinerja adalah sub variabel motivasi kebutuhan rasa aman. Hasil penelitian menyarankan upaya-upaya peningkatan pemahaman tentang profesi, perbaikan kesejahteraan dan jaminan akan pekerjaan.

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The result of study decribed more of nurse`s staff was at poor category for nurse`s perception about nursing profession (51,4%), the most of nurse were with at poor category for work ability (60%), More of nurse`s staff were with good category for wok motivation (55,2%) and more of nurse`s staff were also with good category for nursing performance (52,4%). The study also showed that there were significant correlation between work abilty and motivation with nursing performance. The most influenced variable was safety need motivation."